Doctor Name: | JOAN M. MARTIN |
NPI Number: | 1740470640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | LH00004090 |
Business Practice Address: | 3403 Alderwood Mall Blvd Lynnwood, WA - 980364721 |
Business Phone Number: | 4256700412 |
Business Fax Number: | |
Mailing Address: | 16905 76th Ave W, EDMONDS |
State: | WA |
Postal Code: | 980265003 |
Phone Number: | 4257737335 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH00004090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |